TWI764507B - Active and passive stroke rehabilitation exercise machine - Google Patents

Abstract

The present invention provides an active and passive stroke rehabilitation exercise machine, which includes a base, a first platform and a second platform respectively arranged on both ends of the base, a distance adjusting device arranged on the side of the base, a power source, the first handle device and the second handle device. The first platform is connected with the first handle device, and the second platform is connected with the second handle device. In the above, a distance between the two platforms can be manually adjusted by the distance adjusting device connected to the first platform and the second platform. It can also be changed to be executed in electrical way by controller. The first transmission device connected with the first platform and the second transmission device connected with the second platform to adjust the distance by the power source. The present invention can be achieved for rehabilitators of different lengths of arms.

Description

Active and passive rehabilitation therapy device

The present invention relates to the technical field of a rehabilitation treatment device, in particular to an active and passive rehabilitation treatment device that can be adjusted according to different rehabilitation patients.

Every year, 15 million people in the world suffer from stroke. In Taiwan, stroke is one of the three major causes of death in China. However, with the advancement of medical care, the mortality rate is decreasing year by year, resulting in more and more survivors facing stroke. sequelae of long-term disability. However, more than half of the stroke patients still have no functional recovery of the upper limbs half a year after the stroke. Nearly 80% of the patients with acute upper limb paralysis (mild paresis) can recover their upper limb function, but those with severe paralysis (severe paresis) ) Only less than 20% can recover, of which less than 15% of the upper limb movements of the patients can be restored to the function before the stroke, and the golden period of post-stroke rehabilitation is about 3-6 months, so how to promote stroke patients in the acute stage Restoring upper extremity function is an urgent topic that needs to be broken through.

Also, motor dysfunction is one of the main effects after stroke. Nowadays, many researchers are working on the related research of stroke rehabilitation, among which physical therapy is one of the most common rehabilitation methods. However, upper limb motor function deficit is the most difficult sequelae for stroke patients to break through. Reducing the permanent disability caused by stroke remains the primary goal of neurorehabilitation. The clinical effect of traditional conventional rehabilitation therapy is limited by the residual mobility, and is less able to exert its full effect. In particular, hand motor dysfunction is often seen in clinical practice. Although rehabilitation therapy can continue to restore part of the motor function, there are still a large number of patients who cannot be damaged after traditional rehabilitation exercise treatment. The arm is restored to a functional level.

This case is a structural improvement of the previous application (application number: 104111652), which provided a rehabilitation treatment device including a base, two slide rails, a plurality of pulleys, a belt, a handle, a bearing and a motor. The slide rails are separately arranged on the left and right parts of the base. The pulleys are distributed in the slide rails. The belts are respectively sleeved on the pulleys, and the positions are corresponding to the slide rails. The handles are respectively movably inserted into one of the sliding rails on the left and right sides, and are respectively fixed at the outer edges of the belts. Each of the bearings is connected with one of the pulleys at one end of the shaft center.

At the same time, the combination of the brain-computer interface unit and the visual interface unit can enhance the rehabilitation motivation of stroke patients through games, and can also provide a basis for clinicians and therapists for rehabilitation results.

In addition, in terms of technical specifications, most of the rehabilitation products currently clinically used by rehabilitation institutions in hospitals require patients to use the affected part to operate, or use the healthy part to drive the affected part, such as push/pull boxes, pulleys, conical cups, etc., which are more suitable for A certain degree of autonomous movement of the affected side. In addition, the progress of rehabilitation has not been effectively recorded in the current clinical practice, and scientific and qualitative recommendations have not been provided.

Therefore, this case improves the structure of the previous case, and designs a variable-distance structure that can be used by rehabilitation patients with different arm lengths, an active and passive rehabilitation treatment method design, and a bilateral mirror training track system. Provide the most suitable rehabilitation method in the course of fitness.

One of the purposes of the present invention is to select and adjust the distance between the two platforms according to the movable distance of the arms of different rehabilitators, so as to carry out the rehabilitation treatment suitable for the rehabilitators.

Another object of the present invention is that according to the grip strength of the rehabilitated person's own palm, the rehabilitative treatment device can be used for the rehabilitation treatment by himself, or he can choose to use the rehabilitation treatment device for the rehabilitation treatment in an auxiliary manner.

In order to achieve the above object, the present invention provides an active and passive rehabilitation device, the active and passive rehabilitation device includes: a base, a first platform, a second platform, a variable distance structure, a power motor, a first platform a transmission, a second transmission and a controller. The first platform is disposed on one side of the surface of the base. The second platform is disposed on the other side of the surface of the base, and an outer side of the second platform is spaced a first distance from an outer side of the first platform. The variable distance structure is disposed on one side of the base and is connected to the first platform and the second platform respectively, and the size of the first distance can be adjusted. The power motor is arranged on the base. The first transmission device connects the first platform and the power motor. The second transmission device connects the second platform and the power motor. The controller is electrically connected to the power motor and connected to the variable-distance structure, and can be switched to a manual mode or an electric mode. When the controller is in the manual mode, the controller can be adjusted by the variable-distance structure. The size of the first distance is a second distance; when the controller is in the electric mode, the controller is connected to the power motor, and the power motor is used to actuate the first transmission device and the second transmission device to adjust the first transmission device. A distance dimension is a third distance.

Further, the first platform further includes a plurality of first gears, a first connecting portion and a first belt, the first belt is sleeved on the plurality of the first gears, and the first connecting portions are respectively connected with the first belts. The variable pitch structure is connected with the first transmission group; the second platform further includes a plurality of second gears, a second connecting portion and a second belt, the second belt is sleeved on the plurality of second gears On the upper side, the second connecting portion is respectively connected with the variable distance structure and the second transmission group.

Further, the variable-distance structure further includes a rotating handle, two fixed seats, two third gear chairs and a third belt, the two third gears are respectively pivoted on the two fixed seats, and the third belt is sleeved on the two fixed seats. Two of the third gears, one end of the rotating handle is connected to one of the two third gears, the first connection part and the second connection part are respectively connected to two opposite positions of the third belt, when the first connection part Displacement is performed in one direction, and at the same time, the second connecting portion is displaced in the opposite direction of the direction.

In the above, in the manual mode, the rotating handle is rotated, so that the two third gears and the third belt are rotated, and the third belt is rotated to cause the first connecting portion and the second connecting portion to be displaced , to adjust the first distance to the second distance.

Further, the first transmission device further includes a fourth gear, a first transmission group, a second transmission group, a third transmission group, a first extension arm, a second extension arm, and a third extension arm and a fourth extension arm, one end of the first transmission group is connected to the power motor, the other end of the first transmission group, the fourth gear, one end of the first extension arm, and one end of the second extension arm and one end of the second transmission group is pivotally connected to each other; the other end of the first extension arm, the other end of the second extension arm, the other end of the second transmission group, the one end of the third transmission group, the One end of the three extension arms and one end of the fourth extension arm are pivotally connected to each other; the other end of the third extension arm, the other end of the fourth extension arm, the other end of the third transmission group, the plurality of first One of the gears and the first connecting portion are pivotally established with each other.

Further, the second transmission device further includes a fifth gear, a fourth transmission group, a fifth transmission group, a fifth extension arm, a sixth extension arm, a seventh extension arm and an eighth extension arm , the fifth gear and the fourth gear are mutually engaged and connected, and one end of the fourth transmission group, the fifth gear, one end of the fifth extension arm, and one end of the sixth extension arm are pivotally established with each other; the The other end of the fifth extension arm, the other end of the sixth extension arm, the other end of the fourth transmission group, one end of the fifth transmission group, one end of the seventh extension arm and one end of the eighth extension arm are mutually A pivotal connection is established; the other end of the seventh extension arm, the other end of the eighth extension arm, the other end of the fifth transmission group, one of the plurality of first gears and the second connection portion are pivotally established with each other.

In the above, the electric mode starts the power motor, and rotates by the first transmission group to synchronously change the included angle between the first extension arm and the third extension arm and the included angle between the second extension arm and the fourth extension arm , so that the first platform is displaced, and at the same time, the fourth gear drives the rotation of the fifth gear to synchronously change the angle between the fifth extension arm and the seventh extension arm and the sixth extension arm and the eighth extension arm. The included angle of the extension arm makes the second platform move, and when the fifth gear is driven to rotate by the fourth gear, the first connecting part and the second transmission are driven by the first transmission device to drive the first connection part and the second transmission device. Two connecting parts, so that the first connecting part and the second connecting part are displaced so as to adjust the first distance to the third distance.

In addition, the active and passive rehabilitation device further includes a first handle device and a second handle device.

The first handle device includes a first handle, a first base, and a first slide rail, one end of the first handle is connected to the first base, the first base is erected on the first slide rail, and the first base It can slide along the first sliding rail, the first sliding rail surrounds the outside of the first platform, and the first base is connected with the first belt.

The second handle device includes a second handle, a second base, and a second slide rail, one end of the second handle is connected with the second base, the second base is erected on the second slide rail, and the The second base can slide along the second slide rail, the second slide rail surrounds the outside of the second platform, and the second base is connected with the second belt.

In the manual mode, a rehabilitated person can hold the left and right hands on the first handle and the second handle respectively, so that the first handle slides on the first slide rail and the second handle slides on the second slide rail to perform Rehabilitation treatment.

In the electric mode, a rehabilitated person can activate the power motor, so that the rehabilitated person can hold his left and right hands on the first handle and the second handle respectively, and the first belt and the second belt respectively make the first handle slide on the second handle. The first slide rail and the second handle slide on the second slide rail to assist the rehabilitated person to perform rehabilitation treatment.

In addition, the active and passive rehabilitation device further includes a casing, which can be combined with the base, so that the casing, the first platform and the second platform form two grooves, and the grooves are located in the opposite direction. The first slide rail and the second slide rail should be used so that the first handle and the second handle extend out of the housing.

In the above, the first slide rail and the second slide rail are respectively located on two symmetrical sides of the base, and the outer shape of the first slide rail and the outer shape of the second slide rail are mirror-shaped slide rails.

In addition, in one embodiment, the active and passive rehabilitation device further includes a power motor driver disposed on the base, the power motor driver is electrically connected to the power motor and the controller respectively, and the controller is electrically connected to the power motor. The operation signal of the power motor driver is controlled to adjust the rotation speed of the power motor.

Further, the active and passive rehabilitation device further includes a rehabilitation integration system and a signal transmission and receiver, the rehabilitation integration system and the signal transmission and receiver are all arranged on the base, and the rehabilitation integration system is respectively and the power motor driver and the signal transmitter and receiver, and the rehabilitation integration system is electrically connected with a diagnosis and treatment system through the signal transmitter and receiver.

Through the above, the doctor uses the diagnosis and treatment system to provide a diagnosis and treatment information according to the physical condition of the rehabilitated person, and the diagnosis and treatment information is sent to the rehabilitation integration system through the signal transmission and receiver, so that the rehabilitation integration system controls the power motor driver. , and then let the active and passive rehabilitation device assist the rehabilitated person to perform a rehabilitation course.

The present invention will be fully understood from the drawings and the following description, so that those skilled in the art can complete it accordingly. However, the implementation of the present invention is not limited by the following examples.

1, the present invention provides an active and passive rehabilitation device 1, which includes a base 11, a first platform 12, a second platform 13, a variable distance structure 14, a power motor 15, a A first transmission 16 , a second transmission 17 and a controller 18 .

The first platform 12 is disposed on one side of the surface of the base 11 . The first platform 12 includes a plurality of first gears 121 , a first connecting portion 122 and a first belt 123 . The belt 123 is sleeved on the plurality of first gears 121, the plurality of first gears 121 are arranged on the first platform 12, the first connecting portion 122 is located at the bottom of the first platform 12, and is respectively connected with the variable The distance structure 14 and the first transmission group 16 are connected. In this embodiment, the first platform 12 is erected on the two sliding columns 51 , so that the first platform 12 can perform linear displacement motion on the base 11 .

The second platform 13 is disposed on the other side of the surface of the base 11 . The second platform 13 includes a plurality of second gears 131 , a second connecting portion 132 and a second belt 133 . The two belts 133 are sleeved on the plurality of second gears 131 , the plurality of second gears 131 are arranged on the second platform 13 , the second connecting portion 132 is located at the bottom of the second platform 13 and is respectively connected to the The variable pitch structure 14 is connected by the second transmission group 17 , and one side of the second platform 13 on the outer side is separated from the other side of the first platform 12 by a first distance H1 . In this embodiment, the second platform 13 is erected on the other two sliding columns 51 , so that the first platform 13 can perform linear displacement motion on the base 11 .

The variable distance structure 14 is disposed on one side of the base 11 , and the variable distance structure 14 includes a rotating handle 141 , two fixed seats 142 , two third gears 143 and a third belt 144 , two The third gears 143 are respectively pivoted on the two fixing seats 142 , the third belt 144 is sleeved on the two third gears 143 , one end of the rotating handle 141 is connected with one of the two third gears 143 , the first The connecting portion 122 and the second connecting portion 132 are respectively connected to two positions of the third belt 144 .

The power motor 15 is arranged on the base 11 .

The first transmission device 16 includes a fourth gear 161, a first transmission group 162, a second transmission group 163, a third transmission group 164, a first extension arm 165, a second extension arm 166, a A third extension arm 167 and a fourth extension arm 168, one end of the first transmission group 162 is connected to the power motor 15, the other end of the first transmission group 162, the fourth gear 161, the first extension arm One end of 165, one end of the second extension arm 166 and one end of the second transmission group 163 are pivotally established with each other; the other end of the first extension arm 165, the other end of the second extension arm 166, the second transmission The other end of the group 163, one end of the third transmission group 164, one end of the third extension arm 167 and one end of the fourth extension arm 168 are pivotally connected to each other; the other end of the third extension arm 167, the fourth extension arm 167 The other end of the extension arm 168 , the other end of the third transmission group 164 , one of the plurality of first gears 121 and the first connecting portion 122 are pivotally established with each other.

The second transmission device 17 includes a fifth gear 171, a fourth transmission group 172, a fifth transmission group 173, a fifth extension arm 174, a sixth extension arm 175, a seventh extension arm 176 and a The eighth extension arm 177, the fifth gear 171 and the fourth gear 161 are fitted and connected to each other, and one end of the fourth transmission group 172, the fifth gear 171, one end of the fifth extension arm 174, the sixth One end of the extension arm 175 is pivotally established with each other; the other end of the fifth extension arm 174, the other end of the sixth extension arm 175, the other end of the fourth transmission group 172, the other end of the fifth transmission group 173, the One end of the seventh extension arm 176 and one end of the eighth extension arm 167 are pivotally connected to each other; the other end of the seventh extension arm 176 , the other end of the eighth extension arm 177 , and the other end of the fifth transmission group 173 , one of the first gears 121 and the second connecting portion 132 are pivotally connected to each other.

The controller 18, which is electrically connected to the power motor 15, can be switched to a manual mode 181 or an electric mode 182 . In this embodiment, the controller may be a telecommunication control device, a man-machine interface device or a remote control device, but not limited thereto.

Please additionally refer to FIG. 2 , the manual mode 181 enables a rehabilitated person to use the rotating handle 141 to rotate, so that the two third gears 143 and the third belt 144 rotate, and the third belt 144 rotates, The first connecting portion 122 and the second connecting portion 132 are displaced, at the same time, the first platform 12 performs linear displacement motion on the two sliding columns 51 , and the second platform 13 performs linear displacement motion on the other two sliding columns 51 . The linear displacement movement achieves adjusting the first distance H1 to a second distance H2. In this embodiment, when the first connecting portion 122 is displaced in one direction, the second connecting portion 132 is displaced in the opposite direction of the direction.

Please refer to FIG. 3 and FIG. 4 , the electric mode 182 enables a rehabilitated person to activate the power motor 15 and rotate the first transmission group 162 to synchronously change the first extension arm 165 and the third extension arm 167 A first included angle θ ₁ , and the first included angle θ ₁ between the second extension arm 166 and the fourth extension arm 168 , make the first platform 12 perform linear displacement motion on the two spools 51 , and at the same time, The fourth gear 161 drives the rotation of the fifth gear 171 to synchronously change a _second angle θ2 between the fifth extension arm 174 and the seventh extension arm 176 and the sixth extension arm 175 and the eighth extension The second included angle θ ₂ of the arm 177 enables the second platform 13 to perform linear displacement motion on the other two sliding columns 51 .

Therefore, when the fifth gear 171 is driven by the rotation of the fourth gear 161, the first platform 12 is driven by the first transmission device 16, and the second platform 13 is driven by the second transmission device 17, so that the Both the first platform 12 and the second platform 13 are displaced on the base 11 to adjust the first distance H1 to a third distance H3.

Please refer to FIG. 1. In addition, the active and passive rehabilitation device 1 of the present invention further includes a first handle device 20 and a second handle device 21. The first handle device 20 includes a first handle 201, a first base 202, a first handle A slide rail 203, one end of the first handle 201 is connected with the first base 202, the first base 202 is erected on the first slide rail 203, and the first base 202 can slide along the first slide rail 203 , the first sliding rail 203 surrounds the first platform 12 , and the first base 202 is connected with the first belt 123 .

The second handle device 21 includes a second handle 211, a second base 212, and a second slide rail 213. One end of the second handle 211 is connected to the second base 212, and the second base 212 is erected on the second base 212. The second slide rail 213 , the second base 212 can slide along the second slide rail 213 , the second slide rail 213 surrounds the second platform 13 , and the second base 212 is in contact with the second belt 133 connect.

In this embodiment, the first slide rail 203 and the second slide rail 213 are located on two sides of the base 11 that are symmetrical to each other, and the outer shape of the first slide rail 203 and the second slide rail 213 are as follows: Two slides in mirror shape.

Please additionally refer to FIG. 5 , through the above, when the controller 18 is switched to the manual mode 181 , the rehabilitator can hold the left and right hands on the first handle 201 and the second handle 211 respectively to perform the rehabilitation action. The first handle 201 is slid on the first sliding rail 203 and the second handle 211 is slid on the second sliding rail 213 for rehabilitation treatment.

Please additionally refer to FIG. 6 , and when the controller 18 is switched to the electric mode 182 , the electric mode 182 enables the rehabilitated person to activate the power motor 15 , and the first transmission group 162 rotates to make the first transmission group 162 rotate. The four gears 161 and the second transmission group 163 rotate. The second transmission group 163 rotates to drive the third transmission group 164 to rotate, and the third transmission group 164 rotates to drive the first gear 121 to rotate the first belt 123. At the same time, the fourth gear 161 drives the first gear 121 to rotate. Five gears 171 . When the fifth gear 171 rotates, the fourth transmission group 172 rotates at the same time, and the fourth transmission group 172 drives the fifth transmission group 173 to rotate, so that the second belt 133 rotates. When the rehabilitator holds the left and right hands on the first handle 201 and the second handle 211 respectively to perform the rehabilitation action, the first belt 123 and the second belt 133 make the first handle 201 and the first base 202 slide respectively The first slide rail 203, the second handle 211 and the second base 212l slide on the second slide rail 213 to assist the rehabilitated person to perform rehabilitation treatment.

In this embodiment, from the first transmission group to the fifth transmission group is a transmission mode in which a belt is sleeved on two gears, and the inner sides of the belts in this embodiment all have an internal tooth structure. , the internal tooth structure and the gears are in concave-convex fit with each other for rotation.

Please additionally refer to FIG. 7 , in addition, the improved rehabilitation treatment device 1 of the present invention further includes a casing 30 , the casing 30 can be combined with the base 11 , so that the casing 30 is connected to the first platform 12 and the first platform 12 . The two platforms 13 form two grooves 301 . The positions of the grooves 301 correspond to the first slide rail 203 and the second slide rail 213 respectively, so that the first handle 201 and the second handle 211 extend out of the housing 30 .

Please refer to FIG. 8 , in another embodiment, the active and passive rehabilitation device 1 further includes a power motor driver 41 disposed on the base 11 , the power motor driver 41 is respectively connected with the power motor 15 and the controller 18 is electrically connected, and the rehabilitated person can control the operation signal of the power motor driver 41 through the controller 1, and then adjust the rotation speed of the power motor 15, so as to assist the rehabilitated person to perform rehabilitation during the rehabilitation action. fitness.

In addition, the active and passive rehabilitation device 1 further includes a rehabilitation integration system 42 and a signal transmission and receiver 43 . The rehabilitation integration system 42 and the signal transmission and receiver 42 are both disposed on the base 11 . The rehabilitation integration system 42 is respectively connected with the power motor driver 41 and the signal transmission and receiver 43, and the rehabilitation integration system 42 is electrically connected with a diagnosis and treatment system (not shown in the figure) through the signal transmission and receiver 43 , the doctor uses the diagnosis and treatment system to provide a course of treatment information according to the physical condition of the rehabilitated person, and the course information is sent from the signal transmission and receiver 43 to the rehabilitation integration system 42 , and the power motor is controlled by the rehabilitation integration system 42 The driver 41 enables the active and passive rehabilitation device 1 to assist the rehabilitated person to perform a rehabilitation course.

To sum up, the improved rehabilitation treatment device of the present invention has the following advantages:

1. According to the grip strength of the rehabilitator's own palm, he can choose to hold his hands on the two handles, choose the manual mode, and rotate according to the track by himself for rehabilitation treatment, or he can choose the electric mode to use the power to drive, to assist in driving the two hands. The hand rotates according to the orbit. Thereby, it can assist the upper limb paralyzed person to complete rehabilitation, and has the effect of improving the quality of rehabilitation.

2. In addition, the distance between the two platforms can be adjusted according to the movable distance between the hands of different rehabilitators for rehabilitation treatment. It can be switched to manual mode, and the variable distance structure can be used to modify the distance between the two platforms by itself. It can also be switched to the electric mode and driven by power to assist in adjusting the distance between the two platforms.

3. Through the electrical connection between the rehabilitation integrated system and the doctor's prescription system, the doctor can immediately refer to the information of various examinations performed by the rehabilitated patient, and then provide the corresponding appropriate rehabilitation course parameter setting information, so that the rehabilitation can be performed. When the user uses the active and passive rehabilitation device, a better rehabilitation effect is obtained.

The above are only preferred embodiments of the present invention, and are not intended to limit the scope of the present invention. Without departing from the spirit and essence of the present invention, those skilled in the art can make various corresponding modifications according to the present invention. Changes and deformations, but these corresponding changes and deformations should all belong to the protection scope of the appended claims of the present invention.

1: Active and passive rehabilitation device 11: Base 12: First platform 121: First gear 122: First connecting part 123: First belt 13: Second platform 131: Second gear 132: Second connecting part 133: Second belt 14: Variable pitch structure 141: Rotary handle 142: Fixed seat 143: Third gear 144: Third belt 15: Power motor 16: First transmission 161: Fourth gear 162: First transmission group 163: Second transmission group 164: Third transmission group 165: First extension arm 166: Second extension arm 167: Third extension arm 168: Fourth extension arm 17: Second transmission 171: Fifth gear 172: Fourth transmission Group 173: Fifth Transmission Group 174: Fifth Extension Arm 175: Sixth Extension Arm 176: Seventh Extension Arm 177: Eighth Extension Arm 18: Controller 181: Manual Mode 182: Electric Mode 20: First Handle Device 201: First handle 202: First base 203: First slide 21: Second handle device 211: Second handle 212: Second base 213: Second slide 30: Housing 301: Groove 41: Power motor driver 42: Rehabilitation integrated system 43: signal transmission and receiver 51: spool H1: first distance H2: second distance H3: third distance θ ₁ : first angle θ ₂ : second angle

FIG. 1 is a schematic diagram of the internal structure of the active and passive rehabilitation device of the present invention. FIG. 2 is a schematic diagram of the distance between two platforms being adjusted in manual mode according to the present invention. FIG. 3 is a schematic diagram of the structure of adjusting the distance between two platforms in an electric mode of the present invention. FIG. 4 is a simplified schematic diagram of a top view of adjusting the distance between two platforms in an electric mode of the present invention. FIG. 5 is a schematic diagram of rehabilitation in manual mode of the present invention. FIG. 6 is a schematic diagram of the structure of assisting rehabilitation in the electric mode of the present invention. FIG. 7 is a schematic diagram of the appearance structure of the active and passive rehabilitation device of the present invention. FIG. 8 is a schematic structural diagram of another embodiment of the present invention.

1: Active and passive rehabilitation device

11: Pedestal

12: The first platform

121: First gear

122: The first connection part

123: The first belt

13: Second Platform

131: Second gear

132: Second connecting part

133: Second belt

14: Variable pitch structure

141: Rotary handle

142: Fixed seat

143: Third gear

144: Third Belt

15: Power Motor

16: The first transmission

161: Fourth gear

162: The first transmission group

163: Second transmission group

164: The third transmission group

165:First extension arm

166:Second extension arm

167: Third extension arm

168: Fourth extension arm

17: Second transmission

171: Fifth gear

172: Fourth transmission group

173: Fifth drive group

174: Fifth extension arm

175: Sixth extension arm

176: Seventh extension arm

177: Eighth extension arm

18: Controller

181: Manual Mode

182: Electric mode

20: The first handle device

201: Number One

202: The first base

203: The first rail

21: Second handle device

211: Second Handle

212: Second base

213: Second rail

51: Spool

H1: first distance

Claims (13)

An active and passive rehabilitation treatment device, which is applied to the rehabilitation training of the upper limbs of the human body, includes: a base; a first platform, which is arranged on one end of the base; a second platform is disposed on the other end of the base, and one side of the second platform on the outer side and one side of the first platform on the other outer side are separated by a first distance; a variable distance structure, which is arranged on one side of the base, is connected to the first platform and the second platform respectively, and can adjust the size of the first distance; a power motor, which is arranged on the base; a first transmission device, connecting the first platform and the power motor; a second transmission device, connecting the second platform and the power motor; A controller is electrically connected to the power motor and connected to the variable-pitch structure, and provides switching to a manual mode or an electric mode, the controller is switched to the manual mode, and the variable-pitch structure adjusts the The size of the first distance is a second distance; the controller is switched to the electric mode, the controller is connected to the power motor, the power motor is used to actuate the first transmission device and the second transmission device, and the first transmission device is adjusted. A distance dimension is a third distance. The active and passive rehabilitation treatment device according to claim 1, wherein the first platform further comprises a plurality of first gears, a first connecting portion and a first belt, and the first belt is sleeved on the plurality of the On the first gear, the first connecting portion is respectively connected with the variable pitch structure and the first transmission group; the second platform further includes a plurality of second gears, a second connecting portion and a second belt, The second belt is sleeved on the plurality of second gears, and the second connecting parts are respectively connected with the variable-distance structure and the second transmission group. The active and passive rehabilitation treatment device according to claim 2, wherein the variable distance structure further comprises a rotating handle, two fixed seats, two third gear chairs and a third belt, and the two third gears are pivoted respectively In the two fixed seats, the third belt is sleeved on the two third gears, one end of the rotating handle is connected with one of the two third gears, and the first connection part and the second connection part are respectively connected to the first connection part. At two opposite positions of the three belts, when the first connecting part is displaced in one direction, the second connecting part is displaced in the opposite direction of the direction at the same time. The active and passive rehabilitation treatment device according to claim 3, wherein the manual mode rotates the rotary handle, so that the two third gears and the third belt rotate, and the third belt rotates to make The first connecting portion and the second connecting portion are displaced to adjust the first distance to the second distance. The active and passive rehabilitation treatment device according to claim 2, wherein the first transmission device further comprises a fourth gear, a first transmission group, a second transmission group, a third transmission group, and a first extension arm, a second extension arm, a third extension arm and a fourth extension arm, one end of the first transmission group is connected with the power motor, the other end of the first transmission group, the fourth gear, the first One end of an extension arm, one end of the second extension arm, and one end of the second transmission group are pivotally connected to each other; the other end of the first extension arm, the other end of the second extension arm, the other end of the second transmission group The other end, one end of the third transmission group, one end of the third extension arm, and one end of the fourth extension arm are pivotally connected to each other; the other end of the third extension arm, the other end of the fourth extension arm, the The other end of the third transmission group, one of the plurality of first gears, and the first connecting portion are pivotally established with each other; the second transmission device further includes a fifth gear, a fourth transmission group, and a fifth transmission group , a fifth extension arm, a sixth extension arm, a seventh extension arm and an eighth extension arm, the fifth gear and the fourth gear are connected to each other, and one end of the fourth transmission group, the first Five gears, one end of the fifth extension arm, and one end of the sixth extension arm are pivotally connected to each other; the other end of the fifth extension arm, the other end of the sixth extension arm, the other end of the fourth transmission group, One end of the fifth transmission group, one end of the seventh extension arm and one end of the eighth extension arm are pivotally connected to each other; the other end of the seventh extension arm, the other end of the eighth extension arm, the fifth transmission arm The other end of the group, one of the plurality of first gears and the second connecting portion are pivotally established with each other. The active and passive rehabilitation treatment device as claimed in claim 5, wherein the electric mode activates the power motor, rotates by the first transmission group, synchronously changes the angle between the first extension arm and the third extension arm, and The angle between the second extension arm and the fourth extension arm causes the first platform to displace, and at the same time, the fourth gear drives the rotation of the fifth gear to synchronously change the fifth extension arm and the seventh extension The included angle of the arm and the included angle of the sixth extension arm and the eighth extension arm make the second platform move, and when the fourth gear rotates to drive the fifth gear to rotate, the first transmission device drives the The first connection part and the second transmission device drive the second connection part, so that the first connection part and the second connection part are displaced, so as to adjust the first distance to the third distance. The active and passive rehabilitation treatment device according to claim 2, wherein the improved rehabilitation treatment device further comprises a first handle device and a second handle device, the first handle device comprising a first handle, a first base, a A first slide rail, one end of the first handle is connected with the first base, the first base is erected on the first slide rail, and the first base can slide along the first slide rail, the first slide rail Surrounding the outside of the first platform, the first base is connected with the first belt; the second handle device includes a second handle, a second base, and a second slide rail, and one end of the second handle is connected to the first belt. A second base is connected, the second base is erected on the second slide rail, the second base can slide along the second slide rail, the second slide rail surrounds the outside of the second platform, and the second base is connected to the second slide rail. The second belt is connected. The active and passive rehabilitation therapy device according to claim 7, wherein the manual mode is that a rehabilitator can hold his left and right hands on the first handle and the second handle respectively, so that the first handle slides on the first slide rail and the second handle slides on the second slide rail for rehabilitation treatment. The active and passive rehabilitation treatment device according to claim 7, wherein the electric mode enables a rehabilitated person to activate the power motor, so that the rehabilitated person can hold his left and right hands on the first handle and the second handle respectively, the The first belt and the second belt respectively make the first handle slide on the first slide rail and the second handle slide on the second slide rail, so as to assist the rehabilitated person to perform rehabilitation treatment. The active and passive rehabilitation treatment device according to claim 7, wherein the improved rehabilitation treatment device further comprises a casing, the casing can be combined with the base, so that the casing and the first platform and the The second platform forms two grooves, and the positions of the grooves correspond to the first slide rail and the second slide rail respectively, so that the first handle and the second handle extend out of the housing. The active-passive reconstruction device as claimed in claim 7, wherein the first slide rail and the second slide rail are respectively located on mutually symmetrical sides of the base, and the outer shape of the first slide rail and the second slide rail are The outer shape of the rail is two sliding rails in the shape of mirror. The active and passive rehabilitation device according to claim 1, wherein the active and passive rehabilitation device further comprises a power motor driver disposed on the base, the power motor driver being electrically connected to the power motor and the controller respectively connected, the controller controls the operation signal of the power motor driver to adjust the rotation speed of the power motor. The active and passive rehabilitation device according to claim 12, wherein the active and passive rehabilitation device further comprises a rehabilitation integration system and a signal transmitter and receiver, the rehabilitation integration system and the signal transmitter and receiver are both set On the base, the rehabilitation integration system is respectively connected with the power motor driver and the signal transmitter and receiver, and the rehabilitation integration system is electrically connected with a diagnosis and treatment system through the signal transmitter and receiver. The physical condition of the healthy person uses the doctor's prescription diagnosis and treatment system to provide a course of treatment information, the course information is sent from the signal transmission and receiver to the rehabilitation integration system, and the power motor driver is controlled by the rehabilitation integration system, so that the active and passive The rehabilitation device assists the rehabilitated person to perform a rehabilitation course.

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